Individual
DONNA MARIE KENNER- WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5040 CITY LINE AVE, PHILADELPHIA, PA 19131
(215) 877-2116
Mailing address
1912 LANTERN LANE, ORELAND, PA 19075
(267) 626-9153
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015933
PA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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